Hit 120 Chapter 3 Real World Case 3.1 and 3.2
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Dec 6, 2023
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Chapter 3
Health Information Functions, Purpose, and Users
Nanette B. Sayles, EdD, RHIA, CCS, CHDA, CHPS, CPHIMS, FAHIMA
Real-World Case 3.1
General Hospital knew they had a problem with duplicate health records and needed to clean up
the MPI before the implementation date for the EHR in order to get the best results. A consulting
firm was hired, and a review of the data confirmed this problem when 3,000 potential duplicate
health records issued over the past five years were identified. The hospital started the MPI clean-
up process by educating their patient registration staff on proper search strategies, questions to ask
the patient, the importance of a unit health record, and other related topics. This education was an
important first step so that additional duplicate health records would not be assigned while the
clean-up process was going on. Once the training was complete, the consulting firm began
cleaning up the MPI. The consultants reviewed the potential duplicate health records and merged
the records where appropriate. They also ensured the health records were merged into other
information systems used throughout the healthcare facility. They provided documentation to the
General Hospital showing which health records were and were not duplicates based on their
review.
Real-World Case Discussion Questions
1.
What would you include in the training?
I would add in the training how to keep an MPI clean and avoid errors.
2.
What role can the consultants play in the MPI clean-up?
The consultants not only assist with the clean-up and merging of duplicate records in the
MPI, but they can also provide education on search strategies and the impact of errors,
develop a quality control plan after the clean-up is complete, and create algorithms
(deterministic, probabilistic and rules-based) in the MPI to assist in matching patients with
specific search criteria.
3.
Why did the facility find itself in this situation?
Apparently the MPI was not maintained properly. The people handling the MPI used either
poor search strategies, and/or the patients gave wrong or incorrect information. This could
have been prevented by implementing MPI quality control.
Real-World Case 3.2
The University of Wisconsin Hospital and Clinics (UWHC) received AHIMA’s first Grace Award. This
award is given to a healthcare organization that is innovative in the use of health information. UWHC
collects all documentation electronically either through direct entry, scanning, or from a variety of
information systems throughout the organization. Information from other facilities can be directly faxed
into the EHR and be available for access within two hours. Patients are able to access information to
schedule appointments and access test results. Physicians are reminded that the patient is due for tests or
other services (Dooling and Wiedemann 2012).
Dooling, J. and L.A. Wiedemann. 2012 (November). AHIMA issues first Grace Award:
University of Wisconsin Hospital and Clinics receives HIM excellence award.
Journal of
AHIMA
. 83(11):26–27.
Real-World Case Discussion Questions
1.
What is the Grace Award?
According to the AHIMA website, “the Grace Award honors healthcare delivery
organizations for their innovative and novel approaches to using health information to
deliver high-quality care to patients and for their contributions to our shared mission.” It is
named after AHIMA founder Grace Whiting Meyers.
2.
Who are other Grace Award winners and what did they do to earn the award?
Last year’s winner (2022) is MD Anderson Cancer Center for advancing patient safety by
implementing improvements in data collection and fostering an environment of continuous
learning. Another recipient of the Grace Award was Allina Health of Minneapolis (2015)
who won the award for their “health information without walls” approach.
3.
What did the
University of Wisconsin Hospital and Clinics do to earn the award?
They earned the Grace Award for implementing EHR throughout their entire network.
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